Print a Claim

Step 1

Navigate

Currently, there are two places you can print a claim form:

1. The Claims Manager

2. The Claims Queue

Claim forms are generated by the Clearinghouse, so the claim must have been billed before it can be printed. If you want to print a claim WITHOUT sending electronically, you must print it from the CLAIM QUEUE.

Step 2

Print

Click the print icon (claims manager) or print button (claims queue).

Clearinghouse History - use this for proof of timely filing or looking for ICNs.

ERA - Use this if an ERA was received for the claim.

(This will be separate for primary and secondary claims)

Appeal Form - A pre-printed appeal form, just change a few fields and print.